IJPR.2019.115

Type of Article:  Original Research

Volume 7; Issue 3 (April 2019)

Page No.: 3047-3054

DOI: https://dx.doi.org/10.16965/ijpr.2019.115

EFFECT OF SUDARSHAN KRIYA ON FUNCTIONAL CAPACITY, QUALITY OF LIFE AND STRESS LEVELS IN PATIENTS WITH TYPE 2 DIABETES: A PROSPECTIVE EXPERIMENTAL STUDY

Donna Adhav Gaikwad *1, Rachna Arora 2, Hutoxi Writer 3.

*1 Post Graduate Student, Physiotherapy, Topiwala National Medical College and B.Y.L Nair, Hospital, Dr. A.L.Nair Road, Mumbai, India.

2 Assistant Professor, Physiotherapy, Topiwala National Medical College and B.Y.L Nair, Hospital, Dr. A.L.Nair Road, Mumbai, India.

3 Head Of Physiotherapy Department, Physiotherapy, Topiwala National Medical College and B.Y.L Nair, Hospital, Dr. A.L.Nair Road, Mumbai, India.

Address for Correspondence:   Dr. Donna Adhav Gaikwad, Post Graduate Student, Physiotherapy, Topiwala National Medical College and B.Y.L Nair Hospital,  Dr. A.L.Nair Road, Mumbai 400008. E-Mail: donnagaikwad@gmail.com

ABSTRACT

Background: Type 2 diabetes mellitus describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia resulting from defects in insulin secretion or insulin action or both. Diabetic management consists of a combination of diet, exercise, and weight loss. Sudarshan Kriya yoga use specific rhythms of the breath to eliminate stress, support the various organs and systems and restore peace of mind but no scientific study has been done to assess the efficacy.  Hence the study was done to establish a scientific basis of sudarshan kriya yoga as an adjunct to conventional medical management on functional capacity, Quality of life and stress levels in type 2 diabetic subjects.

Materials and Methods: 60 subjects were enrolled and according to their latest glycemic index (HbA1c), stratified into 2 groups (30 in each group) – with fair to good control (<8) and with poor control (>8). Block randomization method using a block of four was used for random allocation of subjects to experimental (sudarshankriya yoga) and control groups (breathing exercises).  Baseline assessment of Functional Capacity, Quality of life and stress levels was done using 6 Minute Walk Test, SF-36 and Hamilton depression rating Scale respectively. The pre post measurements of outcome measures were analysed.

Results: Following 4 weeks of Sudarshan kriya Yoga and Breathing exercises, there was a statistically significant increase in 6 MWD, SF 36 scores in all domains and reduction in % Heart Rate rise and Hamilton Depression Rating scores and no statistically significant reduction in Basal Heart Rate. However the increase was statistically more significant in the experimental group as compared to the control group.
Conclusion: Sudarshan Kriya yoga has an effect on functional capacity, quality of life and stress levels in subjects with Type 2 Diabetes Mellitus. As Sudarshan Kriya Yoga shows improvement not only in the autonomic function but also shows a reduction in stress levels, it should be incorporated as an adjunct in the management of these subjects.
KEY WORDS: Diabetes Mellitus, Sudarshan Kriya Yoga, SF 36.

REFERENCES

  1. Ahsana Shah and Mohammad Afzal, Prevalence of diabetes and hypertension and association with various risk factors among different Muslim populations of Manipur, India Journal of Diabetes & Metabolic Disorders
  2. Hasan I, Khatoon S: Prevalence of diabetes mellitus and obesity among population of Sultanpurkunhari and its surrounding area, Haridwar Uttarakhand. Indian Journal of Diabetes 2012;3:226-229.
  3. Joshi AR, Pranita A, Phadke AV: Diabesity: curse of development. International Journal of Medical Update 2012;7:77-78.
  4. Patricia L. Gerbarg and Richard P. Brown. Yoga: A breath of relief for Hurricane Katrina refugees. Current Psychiatry Journal 2005;4:55-67.
  5. KaushikHalder, AbhirupChatterjee et al; Improvement in ventilator function through yogic practices -Al Ameen Journal of Medical Science 2012;5(2):197 -202.
  6. Anjum Sayyed, Jyotsna Patil et al;Study of lipid profile and pulmonary functions in subjects with sudarshankriya yoga- Al Ameen Journal of Medical Science 2010;3(1):42-46.
  7. Vedamurthachar, N. Janakiramaiah et al, Antidepressant efficacy and hormonal effects of SudarshanaKriya Yoga (SKY) in alcohol dependent individuals- Journal of Science of Holistic Living and Its Global Application- 2009.
  8. Bharshankar et al – The effects of sudarshankriya yoga training on cardiovascular function – Journal of Complementary Medicine – 2003.
  9. Vivekajyotsna et al – Comprehensive yogic breathing program improves quality of life in patients with diabetes- Indian Journal of Endocrinology Metabolism. 2012 May-Jun; 16(3): 423–428.
  10. Narang et al –   the role of  Sudarshan Kriya Yoga – 2012.
  11. TeresitaCorvera et al – Recognising and reducing risk in heart disease – Journal of American Heart Association – 2008.
  12. James Sharman et al – Determinants of exercise capacity in type 2 diabetes – Journal of Diabetes Care- 2005.
  13. Dipak B. Chavhan et al -THE EFFECT OF SUDARSHAN KRIYA AND BHASTRIKA PRANAYAMA ON ENDURANCE CAPACITY IN KHO-KHO PLAYERS – International Multidisciplinary Research Journal – September 2013;6(I).
  14. Vivekajyotsna et al – Comprehensive yogic breathing program improves quality of life in patients with diabetes- Indian Journal of Endocrinology Metabolism. 2012 May-Jun; 16(3): 423–428.
  15. Kjellgren A, Bood SA, Axelsson K, Norlander T, Saatcioglu F – Wellness through a comprehensive yogic breathing program – a controlled pilot trial – BMC Complementary Alternative Medicine. 2007 Dec 19;7:43.
  16. Brown RP, Gerbarg PL et al – Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model – Journal of Alternative Complementary Medicine. 2005 Feb; 11(1):189-201.
  17. N.Gangadhar, N.Janakiramaiah, B.Sudarshan, K.T. – Stress-related biochemical effects of sudarshankriya yoga in depressed patients – National Journal of Mental Health and Neurosciences, Oct. 1999.
  18. Sameer Zope et al- Sudarshan kriya yoga: Breathing for health – International Journal of Yoga. 2013 Jan-Jun; 6(1): 4–10.
  19. Kulur A.B., Haleagrahara N., Adhikary P., and Jeganathan P.S., . Effect of diaphragmatic breathing on heart rate variability in ischemic heart disease with diabetes, Arquate. Journal of. Cardiology 2009;92(6).
  20. Kaushik RM., Kaushik R., Mahajan SK., Rajesh V., . Effects of mental relaxation and slow breathing in essential hypertension. Complementary Therapy Medicine Journal . 2006 Jun;14 (2):120-6.
  21. Whitmore Max. How to Lower Your Heart Rate Naturally With Breathing Exercises,- Journal of Education and Practice – 2013.
  22. Labiba Abd El-kader Mohamed 1, Effect of slow deep breathing exercise on blood pressure and heart rate among newly diagnosed patients with essential hypertension- Journal of Education and Practice – 2013.
  23. -K. Peng,, Isaac C. Henry et al – Heart rate dynamics during three forms of meditation- International Journal of Cardiology 2004;95:19– 27.
  24. Daniele Martarelli et al – Diaphragmatic Breathing Reduces Exercise-Induced Oxidative Stress – Journal of Experimental Medicine and Public Health 2009.
  25. Bernardi L, Gabutti A, Porta C, Spicuzza L. Slow breathing reduces chemoreflex response to hypoxia and hypercapnia, and increases baroreflex sensitivity. Journal of Hypertension 2001;19:2221–9.
  26. Vidiendal Olsen N, Christensen H, Klausen T et al. Effects of hyperventilation and hypocapnic/normocapnic hypoxemia on renal function and lithium clearance in humans. Anesthesiology 1998; 89(6):1389-400.
  27. Telles et al, Autonomic changes during ‘OM’ meditation, Indian Journal of physiological pharmacology, 1995
  28. Adhana R., Gupta R., Dvivedi J., & Ahmad S., . The influence of the 2:1 yogic breathing technique on essential hypertension, Indian Journal PhysiologicalPharmacololy,  2013;57(1): 38–44.
  29. Mourya M., Mahajan AS., Singh NP., Jain AK. Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension. Journal of Alternative Complement Medicine. 2009 Jul,15(7):711-7.
  30. Shakeshaft J. 6 Breathing Exercises to Relax in 10 Minutes or Less. 2012.
  31. Kirtigandha Salwe Carter  and Robert Carter – Breath-based meditation: A mechanism to restore the physiological and cognitive reserves for optimal human performance -World Journal of  Clinical Cases. 2016 Apr 16; 4(4): 99–102.

Cite this article: Donna Adhav Gaikwad, Rachna Arora, Hutoxi Writer. EFFECT OF SUDARSHAN KRIYA ON FUNCTIONAL CAPACITY, QUALITY OF LIFE AND STRESS LEVELS IN PATIENTS WITH TYPE 2 DIABETES: A PROSPECTIVE EXPERIMENTAL STUDY. Int J Physiother Res 2019;7(3):3047-3054. DOI: 10.16965/ijpr.2019.115